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CT引导下经皮穿刺引流术治疗剖宫产术后粪肠球菌严重脓肿:病例报告及文献复习

CT-guided drainage with percutaneous approach as treatment of E. Faecalis post caesarean section severe abscess: case report and literature review.

作者信息

Leanza V, Lo Presti V, Di Guardo F, Leanza G, Palumbo M

出版信息

G Chir. 2019 Jul-Aug;40(4):368-372.

Abstract

We report a case of a 32-year old woman with severe pelvic abscess formation who was readmitted to the hospital after ten days of postoperative caesarean course. The patient had undergone emergency caesarean section (CS) for acute foetal sufferance during expulsive period and following three days had been discharged regularly. Enterococcus Faecalis was isolated from purulent material. A prompt antibiotic therapy was carried out, therefore clinic condition did not improve. A percutaneous Computed Tomography (CT)-guided drainage of the abscess was planned. Under local anesthesia abscess was drained. The hospitalization stay allowed monitoring the patient's clinical condition and laboratory blood panel until normalization of all parameters.

摘要

我们报告一例32岁女性,其患有严重盆腔脓肿形成,在剖宫产术后十天再次入院。该患者在分娩期因急性胎儿窘迫接受了急诊剖宫产,术后三天正常出院。从脓性物质中分离出粪肠球菌。随即进行了抗生素治疗,但患者临床状况并未改善。于是计划在计算机断层扫描(CT)引导下经皮穿刺引流脓肿。在局部麻醉下进行了脓肿引流。住院期间持续监测患者的临床状况和实验室血液指标,直至所有参数恢复正常。

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